NPI | 1457582108 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MN 57674) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P24004) |
Enumeration Date | 2009-07-29 |
Last Update Date | 2025-03-28 |